In the clinic, we often encounter a few months old baby with persistent high fever, and the effect of taking antipyretic medicine is not very good. Parents are generally very anxious, afraid that the baby has some serious disease, or afraid that the fever for a long time “burned brain”. And this situation continues for about 3 days, the baby’s body temperature suddenly normal, but the body is dense with small red bumps. Parents are even more worried, afraid to eat what medicine caused allergies. In fact, this situation is likely to be the baby has a toddler rash, so what is toddler rash? Is it really serious? This article will roughly talk about what exactly is called the emergency rash of young children.
1.Introduction to the emergency rash
The first thing you need to do is to get a good idea of what you are getting into.
The main manifestation is a high fever that lasts for 3 to 5 days, which suddenly subsides, followed by a rash on the body (fever subsides and rash emerges).
The high incidence of acute rash in children under 2 years of age, especially within 1 year of age.
2.What are the clinical features of E.R.?
(1) Fever
The fever is usually high, 39℃ or even higher.
It lasts from 1 to 5 days, with 3-5 days being the most common.
(2) Skin rash
The rash appears after the fever subsides, most often on the face and chest and back, and sometimes on the extremities.
This rash does not necessarily appear all over the body.
The rash is usually a rose-red macular (papular) rash, which fades when pressed.
It is not itchy or painful (while allergic rashes are often accompanied by itching).
The rash comes out quickly, usually up to 3-4 days to completely subside, and does not leave traces after fading.
Sometimes the baby cries more on the eve of the rash.
3.When does the baby go to the hospital?
The fever is prolonged, more than 3 days. Or the baby is obviously in a poor mental state. Or there are other symptoms such as frequent coughing.
A fever that causes convulsions requires an urgent visit to the hospital.
The rash appears when the body temperature is not normal, or even higher fever.
4. Do I need to be examined for early childhood rash?
Because the rash is similar to a common viral cold, a routine blood test can be done to find out if the rash is a simple viral infection or a combination of bacterial infections. Once the rash appears, there is no need for special tests.
5.How to treat the rash?
Like common viral colds, there is no specific medication for toddler rash. It usually improves on its own with a good prognosis and few complications, so no special treatment is needed.
What parents can do is symptomatic and supportive treatment.
Give the baby plenty of rest.
Drink plenty of water or other fresh beverages as appropriate.
Physical cooling, take a warm wet towel and wipe the baby’s neck, armpits, groin, thighs, etc., the water evaporates to take away the heat and help lower the body temperature.
Medication to control the temperature, the only safe antipyretic drugs for babies are ibuprofen suspension and acetaminophen drops.
In the early stages of eating some clearing and detoxifying Chinese medicine, like Qingkailing granules, antiviral oral solution, etc., may have some effect.
6.Other problems about toddler rash?
(1) If a baby has gotten the emergency rash once, will he or she get it a second time?
In fact, although the baby has a certain degree of immunity after having had E.R. once, there are still other viruses in nature, such as human herpes virus type 7 (HHV-7), so the baby may still have E.R. again, but generally the symptoms will be less severe than the first time.
(2) Do I need to take antibiotics for E.R.?
No, antibiotics are not needed because E.R. is caused by a viral infection. Unless the blood test indicates a bacterial infection.
(3) Do I need to take anti-allergy medication for toddler rash?
Babies with toddler rash have fever, and initially they are usually considered to have a viral cold, and parents tend to give their babies some medication. Once the rash appears, parents will wonder if it is a drug allergy. In fact, toddler rash is a natural process of the disease, not caused by allergies, and does not require anti-allergy medication.